Medi-Cal: federally qualified health centers and rural health clinics.
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AB 1445 — Medi-Cal: federally qualified health centers and rural health clinics.
Last action — From Senate committee without further action.
No card. One bill, free forever — alerts when it moves.
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✓Introduced
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✓In Committee
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3Passed Assembly
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4Passed Senate
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5To Executive
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6Enacted
This bill died with 2009-2010 Regular Session. It reached “Passed Assembly” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.
Summary
Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services pursuant to which medical benefits are provided to public assistance recipients and certain other low-income persons. Existing law provides that federally qualified health center (FQHC) services and rural health clinic (RHC) services, as defined, are covered benefits under the Medi-Cal program, to be reimbursed, to the extent that federal financial participation is obtained, to providers on a per-visit basis. "Visit" is defined as a face-to-face encounter between a patient of an FQHC or RHC and specified health care professionals. Existing law allows an FQHC or RHC to apply for an adjustment to its per-visit rate based on a change in the scope of services it provides. This bill would provide that a maximum of 2 visits, as defined, taking place on the same day at a single location shall be reimbursed when either after the first visit the patient suffers illness or injury requiring additional diagnosis or treatment or the patient has a medical visit, as defined, and another health visit, as defined, or both. The bill would require an FQHC or RHC that currently includes the cost of encounters with more than one health professional that take place on the same day at a single location as constituting a single visit for purposes of establishing its FQHC or RHC rate to, by January 1, 2011, apply for an adjustment to its per-visit rate, and, after the rate adjustment has been approved by the department, require the FQHC or RHC to bill a medical visit and another health visit that take place on the same day at a single location as separate visits. The bill would make other conforming changes. This bill would require the department, by January 15, 2010, to submit a state plan amendment to the federal Centers for Medicare and Medicaid Services reflecting the changes described above.
Bill Text
- Amended 06/01/09 - Amended Assembly Current pdf June 01, 2009
- Amended 04/15/09 - Amended Assembly pdf April 15, 2009
- Introduced 02/27/09 - Introduced pdf February 27, 2009
- AB1445 View text html
Action History
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From Senate committee without further action.
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In committee: Placed on APPR suspense file.
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In committee: Set, first hearing. Hearing canceled at the request of author.
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In committee: Hearing postponed by committee.
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From committee: Do pass, and re-refer to Com. on APPR. Re-referred. (Ayes 10. Noes 0.) (July 8).
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In committee: Hearing postponed by committee.
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Referred to Com. on HEALTH.
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In Senate. Read first time. To Com. on RLS. for assignment.
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Read third time, passed, and to Senate. (Ayes 78. Noes 0. Page 1970.)
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Read second time. To third reading.
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Read second time and amended. Ordered returned to second reading.
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From committee: Amend, and do pass as amended. (Ayes 17. Noes 0.) (May 28).
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In committee: Set, first hearing. Referred to APPR. suspense file.
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From committee: Do pass, and re-refer to Com. on APPR. Re-referred. (Ayes 17. Noes 0.) (April 21).
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Re-referred to Com. on HEALTH.
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From committee chair, with author's amendments: Amend, and re-refer to Com. on HEALTH. Read second time and amended.
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Referred to Com. on HEALTH.
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Read first time.
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From printer. May be heard in committee March 30.
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Introduced. To print.
Sponsors
- Chesbro · Primary
- V. Manuel Perez · Cosponsor
- Wiggins · Cosponsor
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 2 co-sponsors · 119 not signed on
Sponsors (1)
- Chesbro
Co-sponsors (2)
- V. Manuel Perez
- Wiggins
Not signed on (119)
119 members have not signed on to this bill.
Show all 119 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 10 | 0 | 0 | 1 |
| Total | 10 | 0 | 0 | 1 |
| % of votes cast | 91% | 0% | 0% | 9% |
How each member voted (11)
| Member | Party | Vote |
|---|---|---|
| Yee | — | Yea |
| Wyland | — | Yea |
| Corbett | — | Yea |
| Kehoe | — | Yea |
| Price | — | Yea |
| Walters | — | Not Voting |
| Wolk | — | Yea |
| Alquist | — | Yea |
| Ashburn | — | Yea |
| Leno | — | Yea |
| Emmerson | — | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 9 | 0 | 0 | 2 |
| Republican | 1 | 0 | 0 | 0 |
| Total | 10 | 0 | 0 | 2 |
| % of votes cast | 83% | 0% | 0% | 17% |
How each member voted (12)
| Member | Party | Vote |
|---|---|---|
| Cedillo | — | Yea |
| Negrete | — | Not Voting |
| Leno | — | Yea |
| Cox | — | Yea |
| Maldonado | — | Yea |
| Aanestad | — | Yea |
| Alquist | — | Yea |
| McLeod | — | Not Voting |
| Pavley | — | Yea |
| Wolk | — | Yea |
| DeSaulnier | — | Yea |
| Strickland, Tony | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 83 | 0 | 0 | 3 |
| Democratic | 3 | 0 | 0 | 0 |
| Republican | 3 | 0 | 0 | 0 |
| Total | 89 | 0 | 0 | 3 |
| % of votes cast | 97% | 0% | 0% | 3% |
How each member voted (92)
| Member | Party | Vote |
|---|---|---|
| Hagman | — | Yea |
| Carter | — | Yea |
| Chesbro | — | Yea |
| Tom | — | Yea |
| Charles | — | Yea |
| Anderson | — | Yea |
| Beall | — | Yea |
| Blakeslee | — | Yea |
| Evans | — | Yea |
| Feuer | — | Yea |
| De | — | Yea |
| La | — | Yea |
| Torre | — | Yea |
| De | — | Yea |
| Leon | — | Yea |
| Fuller | — | Yea |
| Furutani | — | Yea |
| Fletcher | — | Yea |
| Fong | — | Yea |
| Bonnie | — | Yea |
| Lowenthal | — | Yea |
| V. | — | Yea |
| Manuel | — | Yea |
| Perez | — | Yea |
| John | — | Yea |
| A. | — | Yea |
| Perez | — | Yea |
| Portantino | — | Yea |
| Salas | — | Yea |
| Saldana | — | Yea |
| Audra | — | Yea |
| Cook | — | Yea |
| Bill | — | Not Voting |
| Garrick | — | Yea |
| Block | — | Not Voting |
| Coto | — | Yea |
| Duvall | — | Yea |
| Gilmore | — | Yea |
| Hall | — | Yea |
| Harkey | — | Yea |
| Hernandez | — | Yea |
| Hill | — | Yea |
| Huffman | — | Yea |
| Jeffries | — | Yea |
| Krekorian | — | Yea |
| Lieu | — | Yea |
| Mendoza | — | Yea |
| Miller | — | Yea |
| Monning | — | Yea |
| Nava | — | Yea |
| Price | — | Yea |
| Ruskin | — | Yea |
| Silva | — | Yea |
| Smyth | — | Yea |
| Solorio | — | Yea |
| Torlakson | — | Yea |
| Torres | — | Yea |
| Tran | — | Yea |
| Villines | — | Yea |
| Adams | — | Yea |
| Ammiano | — | Yea |
| Bass | — | Yea |
| Blumenfield | — | Yea |
| Brownley | — | Yea |
| Buchanan | — | Yea |
| Hayashi | — | Yea |
| Huber | — | Yea |
| Knight | — | Yea |
| Logue | — | Yea |
| Ma | — | Yea |
| Nestande | — | Yea |
| Nielsen | — | Yea |
| Skinner | — | Yea |
| Swanson | — | Yea |
| Torrico | — | Yea |
| Conway | — | Yea |
| Emmerson | — | Yea |
| Eng | — | Yea |
| Davis | — | Yea |
| DeVore | — | Yea |
| Yamada | — | Yea |
| Fuentes | — | Yea |
| Galgiani | — | Yea |
| Beth Gaines | — | Yea |
| Bill Berryhill | — | Yea |
| Bill Berryhill | — | Not Voting |
| Arambula, Joaquin | Democratic | Yea |
| Caballero, Anna M. | Democratic | Yea |
| Calderon, Lisa | Democratic | Yea |
| Jones, Brian W. | Republican | Yea |
| Niello, Roger W. | Republican | Yea |
| Strickland, Tony | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 20 | 0 | 0 | 0 |
| Democratic | 1 | 0 | 0 | 0 |
| Republican | 1 | 0 | 0 | 0 |
| Total | 22 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (22)
| Member | Party | Vote |
|---|---|---|
| Charles | — | Yea |
| De | — | Yea |
| Leon | — | Yea |
| John | — | Yea |
| A. | — | Yea |
| Perez | — | Yea |
| Audra | — | Yea |
| Duvall | — | Yea |
| Hall | — | Yea |
| Harkey | — | Yea |
| Miller | — | Yea |
| Ammiano | — | Yea |
| Nielsen | — | Yea |
| Solorio | — | Yea |
| Torlakson | — | Yea |
| Krekorian | — | Yea |
| Price | — | Yea |
| Skinner | — | Yea |
| Davis | — | Yea |
| Fuentes | — | Yea |
| Calderon, Lisa | Democratic | Yea |
| Strickland, Tony | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 19 | 0 | 0 | 4 |
| Republican | 2 | 0 | 0 | 0 |
| Democratic | 1 | 0 | 0 | 0 |
| Total | 22 | 0 | 0 | 4 |
| % of votes cast | 85% | 0% | 0% | 15% |
How each member voted (26)
| Member | Party | Vote |
|---|---|---|
| Hall | — | Yea |
| Carter | — | Yea |
| Hayashi | — | Yea |
| De | — | Yea |
| Leon | — | Yea |
| Fletcher | — | Yea |
| Bonnie | — | Yea |
| V. | — | Yea |
| Manuel | — | Yea |
| Perez | — | Yea |
| Salas | — | Yea |
| Audra | — | Yea |
| De | — | Not Voting |
| Adams | — | Yea |
| Block | — | Yea |
| La | — | Not Voting |
| Torre | — | Not Voting |
| Gaines | — | Not Voting |
| Ammiano | — | Yea |
| Hernandez | — | Yea |
| Nava | — | Yea |
| Conway | — | Yea |
| Emmerson | — | Yea |
| Lowenthal, Josh | Democratic | Yea |
| Jones, Brian W. | Republican | Yea |
| Strickland, Tony | Republican | Yea |
Subjects
Frequently asked questions
- What does AB 1445 do?
- Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services pursuant to which medical benefits are provided to public assistance recipients and certain other low-income persons. Existing law provides that federally qualified health center (FQHC) services and rural health clinic (RHC) services, as defined, are covered benefits under the Medi-Cal program, to be reimbursed, to the extent that federal financial participation is obtained, to providers on a per-visit basis. "Visit" is defined as a face-to-face encounter between a patient of an FQHC or RHC and specified health care professionals. Existing law allows an FQHC or RHC to apply for an adjustment to its per-visit rate based on a change in the scope of services it provides. This bill would provide that a maximum of 2 visits, as defined, taking place on the same day at a single location shall be reimbursed when either after the first visit the patient suffers illness or injury requiring additional diagnosis or treatment or the patient has a medical visit, as defined, and another health visit, as defined, or both. The bill would require an FQHC or RHC that currently includes the cost of encounters with more than one health professional that take place on the same day at a single location as constituting a single visit for purposes of establishing its FQHC or RHC rate to, by January 1, 2011, apply for an adjustment to its per-visit rate, and, after the rate adjustment has been approved by the department, require the FQHC or RHC to bill a medical visit and another health visit that take place on the same day at a single location as separate visits. The bill would make other conforming changes. This bill would require the department, by January 15, 2010, to submit a state plan amendment to the federal Centers for Medicare and Medicaid Services reflecting the changes described above.
- Who sponsors AB 1445?
- AB 1445 is sponsored by Chesbro, V. Manuel Perez, and Wiggins.
- What is the current status of AB 1445?
- This bill died with 2009-2010 Regular Session. It reached “Passed Assembly” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
- Where can I track AB 1445?
- Track AB 1445 free on One Click Politics — get push/email alerts when it moves.
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